{*
    @DATE : 8/21/11
    @Author: ngannv
    @Email: ngankt2@gmail.com
*}
{*
    @User: ngannv
    @Email: ngankt2@gmail.com
    @Date: 8/19/11
*}
<link rel="stylesheet" href="styles/jMaster/ui.datepicker.css" type="text/css">
{literal}
<script language="javascript">
    jQuery(document).ready(function() {
        jQuery('#user_birth').datepicker();
    });
</script>
{/literal}
<br>
<form name="frmEditUser" id="staff_frm" method="post" action="#" ENCTYPE="multipart/form-data">
    <fieldset class="border_radius3">
        <legend>Thông tin cá nhân bổ sung :</legend>
        <table width="96%" cellspacing="1" cellpadding="0" border="0" class="table_main staff_add_tbl">
            <tbody>
            <tr>
                <td width="180">Họ và tên</td>
                <td colspan="2">
                    <input type="text" class="txtTextInput" style="width: 220px;" maxlength='80' class="txtTextInput"
                           name="user_fullname" id="user_fullname" value=""/>
                </td>
            <tr>
                <td>Giới tính</td>
                <td>
                    <select name="user_sex" id="user_sex">
                        <option value="1" title="Nam">Nam</option>
                        <option value="0" title="Nữ">Nữ</option>
                    </select>
                </td>
            </tr>
            <tr>
                <td>Ngày sinh</td>
                <td>
                    <input type="text" name="user_birth" id="user_birth" value=""/>
                </td>
            </tr>
            <tr>
                <td>Điện thoại nhà riêng</td>
                <td>
                    <input type="text" maxlength="15" class="txtTextInput" value="" name="user_tel" id="staff_tel"/>
                </td>
            </tr>
            <tr>
                <td>Điện thoại di động</td>
                <td>
                    <input type="text" maxlength="15" class="txtTextInput" value="" name="user_mobi" id=""/>
                </td>
            </tr>
            <tr>
                <td valign="top">Địa chỉ</td>
                <td colspan="2">
                    <input type="text" maxlength="255" class="txtTextInput" style="width: 220px;" value=""
                           name="staff_address" id="staff_address"/>
                </td>
            </tr>


        </table>
    </fieldset>
    <fieldset class="border_radius3">
        <legend>Thông tin đăng nhập :</legend>
        <table width="96%" cellspacing="1" cellpadding="0" border="0" class="table_main staff_add_tbl">
            <tbody>
            <tr>
                <td width="180">Email</td>
                <td width="">
                    <input type="text" maxlength="120" class="txtTextInput" style="width: 220px;" value="" name=""
                           id=""/>
                </td>
            </tr>
            <tr>
                <td>Mật khẩu</td>
                <td width="120">
                    <input type="password" class="txtTextInput" maxlength='80' class="txtTextInput" name="" id=""
                           value=""/>
                </td>
            </tr>
            <tr>
                <td>Xác nhận mật khẩu</td>
                <td>
                    <input type="password" class="txtTextInput" maxlength='80' class="txtTextInput" name="" id=""
                           value=""/>
                </td>
            </tr>
            <tr>
                <td></td>
                <td>
                    <input type="button" id="" value="Cập nhật" class="white" name="" onclick=""/>
                    <input type="reset" value="Nhập lại" class="white" name="Reset"/>
                </td>
            </tr>
        </table>
    </fieldset>

</form>
<div class="clearfix"></div>